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spotting and changes since not on contraception

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October 2011 had the implant, was removed and changed to Cerazette in November 2011. Stopped cerazette in January 2012. Before the implant I had a 8 month break from contraception after being on the pill for about 4 years.

I've had 6 cycles - 30, 30, 28, 28, 26 and am on cycle day 27 but no period yet. The last 4 cycles I have started to experience brown spotting about 7 days before my period and lasting anything from 2days to the day my period starts.

This is unusual for me and has never happened since I started my period. Also my periods were always 29-33 days when not on contraception. The third cycle my bleeding only lasted for 4 days when usually its 6 days but has since returned to normal.

I am really confused about all this and not sure what I should do. I should probably note that we are trying to conceive and have been for the last 6 cycles, I have used ovulation tests and record periods.

Thank you for your time


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replied June 8th, 2012
Menstruation Answer A35771
Hi,
Welcome to ehealthforum,
The brown spotting before periods that you describe could be normal as experienced by many women, or could be suggestive of causes like breakthrough bleeding, infection, hormonal changes, endometritis, PCOS, menopausal onset, etc. Brown discharge and lighter periods are associated with pregnancy. If pregnancy is suspected, you should consider visiting your doctor/gynecologist for thorough examination (to confirm pregnancy related changes/signs in body) and blood/serum HCG level test (to confirm/rule out pregnancy accurately).
If pregnancy gets ruled out, consider requesting your doctor/gynecologist for a vaginal swab/smear test done to confirm/rule out infective causes. Hormonal analysis done would rule out chances of any imbalances. Ultrasound scan done will help to rule out other problems like PID, endometrial problems, PCOS, ovarian cysts etc (these can also affect fertility). Hormonal analysis done would help to rule out menopausal onset. Get started on treatment as indicated by examination findings and investigation results. Avoid vaginal douching, use of harsh soap or perfumes in the area. Use loose cotton undergarments and avoid use of tight fitting clothes. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Drink plenty of water. Take adequate rest. Maintain healthy diet and lifestyle. If infective cause is detected, and if you are sexually active, get your partner also treated simultaneously, and avoid having intercourse while being on treatment to prevent chances of re-infection.
Take care.


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